Your Medicaid application has been approved. Fantastic! The approval notice mentions something about a “liability” owed to the nursing home each month. What is a liability and how did they arrive at this figure?

Your Medicaid application has been approved. Fantastic! The approval notice mentions something about a “liability” owed to the nursing home each month. What is a liability and how did they arrive at this figure?
Beginning June 1, 2014, Indiana implemented a change to its Medicaid eligibility standards for those residing in nursing homes or receiving waivered services. The new rule currently limits the gross income of Medicaid recipients to $2,199.00 per month (updated May, 2015). Each year, this Special Income Level (SIL) may be adjusted. Medicaid recipients whose income exceeded the SIL prior to June 1, 2014, received a written notice from the Indiana Family and Social Services Administration (FSSA) explaining that their Medicaid benefits would cease unless immediate action was taken. According to FSSA estimates, over 3,200 Indiana Medicaid recipients (residing in nursing homes or receiving waivered services) had incomes exceeding $2,199.00.… Read More »
The process of qualifying for Medicaid to help pay for nursing home care can be stressful, especially when a denial notice is involved. Fortunately, this isn’t the end of the process. Several options still exist once a Medicaid applicant receives notice of an adverse action.